Physician
Bronxcare Health System
Bronxcare Health System was paid $4.30M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoBRONXCARE HEALTH SYSTEM
BRONX, NY 10457
BRONX, NY 10457
33aNPI1538230073assigned 11/13/2006
33bProvider typeAnesthesiology Physician
28Total paid$4.30M
24GClaims101,042
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in New York
Rank by total paid#10 of 493
Median peer was paid$8K
This provider vs. median558×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DEMARCO, VICTOR controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,460 | $565K | |
| 2019 | 16,259 | $633K | |
| 2020 | 13,962 | $597K | |
| 2021 | 14,897 | $758K | |
| 2022 | 13,081 | $678K | |
| 2023 | 16,138 | $605K | |
| 2024incomplete | 13,245 | $460K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 47,295 | 42,775 | $2.30M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.3% | 4,802 | 4,259 | $399K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.1% | 12,530 | 11,095 | $307K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.5% | 6,430 | 5,992 | $238K |
| 76818 | 4.5% | 4,163 | 2,058 | $193K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.9% | 4,293 | 4,240 | $169K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.1% | 1,705 | 1,704 | $135K |
| 76801 | 2.0% | 2,135 | 2,094 | $88K | |
| 76813 | 1.9% | 1,571 | 1,566 | $80K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.8% | 1,189 | 1,183 | $77K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 1.4% | 229 | 69 | $62K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 1.0% | 450 | 170 | $45K |
28 more codes
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,090 | $35K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 488 | $28K |
| 99464 | <1% | 403 | $26K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 910 | $25K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 760 | $25K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 14 | $13K |
| 59514 | <1% | 13 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 64 | $8K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 92 | $7K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 143 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 84 | $5K |
| 99221 | <1% | 52 | $4K | |
| 76820 | <1% | 149 | $3K | |
| 99386 | <1% | 41 | $2K | |
| 99411 | <1% | 62 | $1K | |
| 54150 | <1% | 14 | $1K | |
| 59025 | Fetal non-stress test | <1% | 38 | $1K |
| 99442 | <1% | 15 | $779.46 | |
| 99401 | <1% | 40 | $577.49 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $495.15 |
| 82270 | <1% | 136 | $434.64 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 44 | $383.76 |
| 99441 | <1% | 12 | $281.04 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 127 | $15.05 |
| 3008F | <1% | 8,420 | $3.90 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 226 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 665 | $0.00 |
| 3725F | 0% | 134 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDEMARCO, VICTOR (CFO)
| Provider | Location | Paid |
|---|---|---|
| Bronxcare Health System | Bronx, NY | $348.43M |
| Bronxcare Health System | Bronx, NY | $62.38M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $60.39M |
| Bronxcare Health System | Bronx, NY | $13.04M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $7.31M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $6.55M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $6.04M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $3.14M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $511K |
| Bronxcare Health System | Bronx, NY | $420K |
| Bronxcare Health System | Bronx, NY | $403K |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $392K |
| Bronxcare Health System | Bronx, NY | $13K |
| Bronxcare Health System | Bronx, NY | $12K |
| Bronxcare Special Care Center | Bronx, NY | $6K |
| Bronxcare Health System | Bronx, NY | $2K |
| Bronxcare Health System | Bronx, NY | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.